| NPI | 1154217883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0040548) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OH APRN.CNP.0040548) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-11-04 |